Provider Demographics
NPI:1376319095
Name:LONES, CARRIE L
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:L
Last Name:LONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 JOHNSTON ST SE STE 100
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-2535
Mailing Address - Country:US
Mailing Address - Phone:256-822-2375
Mailing Address - Fax:256-584-2330
Practice Address - Street 1:251 JOHNSTON ST SE STE 100
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-2535
Practice Address - Country:US
Practice Address - Phone:256-822-2375
Practice Address - Fax:256-584-2330
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor